Provider Demographics
NPI:1851595987
Name:ORTHODONTICS UNLIMITED
Entity Type:Organization
Organization Name:ORTHODONTICS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUSEBIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-263-7500
Mailing Address - Street 1:PO BOX 7859
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7859
Mailing Address - Country:US
Mailing Address - Phone:787-263-7500
Mailing Address - Fax:787-263-8335
Practice Address - Street 1:ANTONIO R. BARCELO ST. #20
Practice Address - Street 2:SIERRA DE CAYEY PLAZA SUITE 207
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-7500
Practice Address - Fax:787-263-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1003261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental